Island Health
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
1952 Bay Street Victoria, B.C. V8R 1J8 | Visit Official Website (opens in a new tab)
Non-Visit Follow-up
September 15, 2022
Contraventions:
A summary of the new or corrected contraventions found during the inspections are listed below.Code
Category/Description
3000 - RCR 35(1)(c)
Description: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials
Corrective Actions Required: Ensure laundry room doors are kept closed when they are not being used by staff.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 5, 2022
Observations: Licensing toured both floors of facility and observed Laundry room doors on both floors was left open. Manager stated policy is for doors to be kept shut.
3000 - RCR 35(1)(c)
Description: A licensee must provide the following appropriately furnished and equipped areas: secure, safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensee sent a photo of a sign on laundry room door reminding staff to keep door closed.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3070 - RCR 78(1)(a)
Description: A licensee must keep, for each person in care, a record showing the following information: name, sex, date of birth, medical insurance plan number and immunization status
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensee sent email sharing screen shot of PCC computer program which showed all immunization history.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations:
3070 - RCR 78(1)(a)
Description: A licensee must keep, for each person in care, a record showing the following information: name, sex, date of birth, medical insurance plan number and immunization status
Corrective Actions Required: Ensure information for all immunizations is kept on file. If they dates are unknown, it can be documented as unknown.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: May 5, 2022
Observations: Licensing reviewed 6 resident files. Immunizations dates for FLU and COVID were on file, but no dates for Tetanus, Diphtheria or other immunizations.
3080 - RCR 69(1)(a)
Description: A licensee must ensure that a pharmacist packages all medications
Corrective Actions Required: Ensure all medications are packaged by a pharmacist.
Corrective Actions Taken By Licensee:
Actions Required By Licensing: Follow Up Inspection to be conducted.
To Be Corrected By: April 18, 2022
Observations: Licensing toured facility, and observed unlabeled bottles of supplements in medication carts.
3080 - RCR 69(1)(a)
Description: A licensee must ensure that a pharmacist packages all medications
Corrective Actions Required:
Corrective Actions Taken By Licensee: Licensee sent LO a photo of medications with pharmacy label on the medication.
Actions Required By Licensing: No further action required; this contravention has been addressed.
To Be Corrected By:
Observations: